| NPI | 1154681880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD R036476) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2020-10-21 |